Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dalles Raydell Black

Individual provider Occupational Therapy Assistant · NPI 1245797794

Dalles Raydell Black is an Occupational Therapy Assistant in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

15002 Hutchison Rd
Tampa, FL 33625-5502
Phone: (813) 960-1969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 16690 (FL)

Record details

NPI number1245797794
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2019
Last updated in NPPESFebruary 20, 2019
Mailing address2294 Primrose Ln Apt 1606, Clearwater, FL 33763-1059

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